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6.beneficence_and_nonmaleficence.pptx

Beneficence and Nonmaleficence

Providing benefits

Benefits and values

Kinds of benefits

Health

Wealth

Aesthetic

Professional

Educational

Healthcare providers have the duty to

*do good* and *avoid harm* to their patents.

Health vs. Other Benefits

The perspective of the healthcare provider:

* Maximize the health of the patient *

vs.

The perspective of the patient:

* Maximize the overall well-being *

The Enhancement Debate

Non-medical benefits from medical treatment

Physical enhancement

Athletics

Cognitive enhancement

Pharmacological enhancement

Aesthetic enhancement

Plastic surgery

Benefits vs. Harms

When high benefits come with high risk, we have the following options:

Calculate the “net” good

Maximize the ratio between benefit and harm

Nonmaleficence overrides beneficence

Calculate the “net” good:

* (4 – 2) > (2 – 1) * Therefore, Course of Treatment 2 is to be preferred to Course of Treatment 1.

Estimated Benefits Course of Treatment 1 Course of Treatment 2 1 2 Estimated Harm Course of Treatment 1 Course of Treatment 2 2 4

Maximize the ratio between benefit and harm

* (2/1) = (4/2) * Therefore, Course of Treatment 1 is equally beneficial to Course of Treatment 2.

Estimated Benefits Course of Treatment 1 Course of Treatment 2 1 2 Estimated Harm Course of Treatment 1 Course of Treatment 2 2 4

Nonmaleficence overrides beneficence

* 1 < 2 * Therefore, Course of Treatment 1 is to be preferred to Course of Treatment 2.

Estimated Benefits Course of Treatment 1 Course of Treatment 2 1 2 Estimated Harm Course of Treatment 1 Course of Treatment 2 2 4

Benefiting Others

Benefits to society

Benefits to specific non-patients

Benefits to the profession

Benefits to the health professional and the health professional’s family